EFTA00179481

P83-shortform
(12/4/08)

## CONFIDENTIAL

NOT TO BE READ BY AGENTS: This report is provided for the purpose of BAIL DETERMINATION ONLY and shall otherwise be confidential pursuant to: 18 USC 3153(c)(1).



_AUSA_



## FOR COURTROOM USE ONLY

RETURN TO PRETRIAL SERVICES OFFICER IMMEDIATELY AFTER HEARING

MUST NOT BE TAKEN OUT OF COURTROOM

ABBREVIATED PRETRIAL SERVICES REPORT

<table border="1"><tr><td>SOUTHERN DISTRICT OF FLORIDA/WPB</td><td rowspan="3">CHARGE(S):</td></tr><tr><td>JUDICIAL OFFICER:THE HONORABLE U.S. MAGISTRATE JUDGE</td></tr><tr><td>DOCKET NUMBER:</td></tr></table>

DEFENDANT



## DEFENDANT HISTORY

DUE TO TIME CONSTRAINTS, THE FOLLOWING ABBREVIATED PRETRIAL SERVICES REPORT WAS PREPARED FOR YOUR HONOR'S CONSIDERATION. THE FOLLOWING INFORMATION IS UNVERIFIED, EXCEPT WHERE NOTED.



DEFENDANT HISTORY / RESIDENCE / FAMILY TIES:


<table border="1"><tr><td>DATE OF BIRTH:</td><td colspan="2">PLACE OF BIRTH:</td></tr><tr><td>SSN:</td><td colspan="2">RACE/SEX: PRIMARY LANG: Spanish</td></tr><tr><td>CITIZENSHIP:</td><td colspan="2">IMMIGRATION STATUS: English</td></tr><tr><td>DATE OF ENTRY:</td><td colspan="2">PASSPORTS/VISAS(valid or expired) LOCATION:</td></tr><tr><td colspan="3">FOREIGN TRAVEL(PAST 5 YEARS):Yes/No Where: When:Where: When:</td></tr><tr><td>OTHER/ PRIOR RESIDENCES(Including other states or countries)</td><td>DATES</td><td>LIVED WITH WHOM</td></tr><tr><td colspan="3"></td></tr></table>





EFTA00179482

<table border="1"><tr><td colspan="4">FAMILY AND FRIENDS</td></tr><tr><td>NAME</td><td>RELATIONSHIP</td><td>ADDRESS / TELEPHONE NUMBER</td><td>FREQUENCY OF CONTACT</td></tr><tr><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td></tr></table>

<table border="1"><tr><td>NAME/AGE OF CHILDREN</td><td>ADDRESS</td><td>FREQUENCY OF CONTACT</td><td>SUPPORT YES / NO AMT/FREQ.</td></tr><tr><td></td><td></td><td></td><td></td></tr></table>

EDUCATIONAL HISTORY:

# HIGHEST LEVEL OF EDUCATION

(HIGH SCHOOL DIPLOMA) (NO HIGH SCHOOL DIPLOMA / GED) (VOCATIONAL/APPRENTICE GRADUATE)
(ASSOCIATE'S DEGREE) (BACHELOR'S DEGREE) (MASTER'S DEGREE) (DOCTORATE) (UNKNOWN)

| NAME/LOCATION | LAST GRADE/CREDIT COMPLETED AND/OR | YEAR COMPLETED |
| :--- | :--- | :--- |
| | | |
| | | |
| | | |

EFTA00179483

3. MILITARY EXPERIENCE (ACTIVE AND/OR RESERVE DUTY):

<table><thead><tr><th>BRANCH OF SERVICE</th><th>DATE OF ENTRY</th><th>DATE OF DISCHARGE</th><th>TYPE OF DISCHARGE</th></tr></thead><tbody><tr><td colspan="4">PRESENT EMPLOYMENT: (UNKNOWN) (UNEMPLOYED)</td></tr><tr><td colspan="4">NAME AND ADDRESS:</td></tr><tr><td>PRESENT LENGTH OF TIME EMPLOYED:</td><td>PRESENT JOB DESCRIPTION:</td><td colspan="2">PRESENT MONTHLY SALARY:</td></tr><tr><td colspan="4">PREVIOUS EMPLOYMENT</td></tr><tr><td>DATES/NAME OF EMPLOYER</td><td>ADDRESS OF EMPLOYER</td><td colspan="2">JOB DESCRIPTION/SALARY</td></tr></tbody></table>

<table border="1"><tr><td colspan="2">FINANCES</td></tr><tr><td>ASSETS(INCLUDING VALUES)</td><td>LIABILITIES/DEBTS(INCLUDING RENT/MORTGAGE)</td></tr><tr><td></td><td></td></tr></table>

5. HEALTH:

<table border="1"><tr><td colspan="3">PHYSICAL HEALTH:
(NONE) (UNKNOWN) (MINOR MEDICAL ONLY) (SIGNIFICANT MEDICAL UNDER CONTROL) (RECURRENT MEDICAL)
(UNCONTROLLED SIGNIFICANT DISORDER) (EVALUATION OR TX IN PROGRESS)</td></tr><tr><td>MEDICAL ILLNESSES/CONDITIONS</td><td>MEDICATIONS</td><td>SPECIFIC TREATMENT</td></tr><tr><td></td><td></td><td></td></tr></table>

3

EFTA00179484

<table border="1"><tr><td colspan="4">MENTAL HEALTH PROBLEMS:
(NONE) (UNKNOWN) (HISTORY/NON-ACTIVE) (CURRENT/ON-GOING)</td></tr><tr><td>DIAGNOSIS</td><td>DATES</td><td>MEDICATIONS</td><td>TREATMENT</td></tr><tr><td></td><td></td><td></td><td></td></tr></table>

<table border="1"><tr><td colspan="5">SUBSTANCE ABUSE HISTORY:
(NONE) (PAST) (CURRENT)</td></tr><tr><td>TYPE OF SUBSTANCE</td><td>Age use began</td><td>LAST USE</td><td>FREQUENCY</td><td>TREATMENT:
(None) (In-patient) (Out-patient)</td></tr><tr><td></td><td></td><td></td><td></td><td></td></tr></table>

6. PRIOR RECORD:



SEE ATTACHED RECORD.

PENDING

7. OFFENSE CHARGED AND CIRCUMSTANCES OF THE ARREST: THE DEFENDANT IS PRESENT BEFORE YOUR HONOR TODAY FOR AN INITIAL APPEARANCE BASED ON THE ABOVE NOTED CHARGES. NO FURTHER INFORMATION IS AVAILABLE REGARDING THE CIRCUMSTANCES OF THE ARREST.

8. ASSESSMENT OF NONAPPEARANCE AND DANGER: AN ASSESSMENT HAS NOT BEEN MADE DUE TO TIME CONSTRAINTS.

9. RECOMMENDATION: A BOND RECOMMENDATION IS WITHHELD AT THIS TIME.

<table border="1"><tr><td>U.S. PROBATION OFFICER</td><td>DATE: 12.9.09
TIME OF INTERVIEW:</td></tr></table>

4

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